博碩士論文 964304002 詳細資訊


姓名 李宏剛(Hong-kang Lee)  查詢紙本館藏   畢業系所 產業經濟研究所在職專班
論文名稱 自殺死亡率之經濟分析
(The Economic Evidence of Suicide Rates in Taiwan)
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摘要(中) 隨國民所得有效提升,國民健康存量的增加,國民死亡率因而大幅降低。然而,象徵經濟快速發展與國民健康提升的碩果之餘,台灣地區十大死因結構丕變,漸由早期傳染性疾病轉變為現代文明性疾病,其中,自殺死亡率的居高不下,儼然已為長期經濟發展的衝擊與國民健康持續提升之負向效果。由於自殺成因的錯縱複雜,自殺之不理性行為更是無法預期風險,故自殺不再僅止於公共衛生或流行病學等醫療層面之問題,自殺現象與社會經濟的相依性影響,以及對各年齡層產生之遞延性、外部性與移轉性效果,對國民健康與醫療保建政策之效用亦存在長期的衝擊。為此,本研究將據以民國73-96年台灣地區23縣市整合性資料,考量時間趨勢與地區異質性下,以長期追縱之固定效果模型,探討社經變數相對標準化與各性別年齡層自殺率的影響,並以實證結果與政策意涵提出對自殺防治之前瞻性的建議。
實證結果顯示,整體自殺死亡率與經濟變數間之影響並非直接效果,惟在男性青年與中壯年齡層相對經濟變數的影響則相對顯著,老年人口自殺率則存在社經因素的外部性與親屬情感的邊際效果,因而增加可能的自殺機會成本。另外,地區性差異與自殺人口密度集中化等,將使自殺率隨年齡層遞增之彈性變小、地區中存在自殺僵固性與隱藏性經濟成本難以估計,因而使自殺防治必須存在差異性。故本研究建議自殺防治政策擬定除考量地區被剝奪特性外,尚須就自殺年齡層之結構性危機提出更有效的預防作為,希冀長期防治的目標能減緩台灣地區自殺死亡率,持續提升國民健康水準,使國家經濟發展與人民健康福祉能永續經營。
摘要(英) The purposes of this study explore suicide and correcting for socio-economic fallacy of suicide-related. Suicide is not only a public health issue in the world, but also one of the leading causes of death in Taiwan. Suicidal behaviors have a huge impact on the national health and also cause crisis in the long-term economic development. Unlike economists, sociologists and psychologists study the suicide phenomenon than the broader importance of the factors that behind the policy effects and evidence through an econometric model for combining economic theory to examine the potential impact of suicide. According to our study results, we use a fixed-effects model of Panel Data in which control the time trend and heterogeneity by counties and cities characteristics of suicide rate in Taiwan from 1984 to 2007. We found that economic factors impact on the overall suicide rate while not great, but after the distinction between genders of all ages have a huge impact. Since of suicide that have a lower elasticity and instability for high sensitivity to take particularly in the male population of young adults age level. Suicide rate jumped sharply because of external effects of economic and it caused by spillover effects. While the elderly populations exist to impact and deferred effect in the long-term, another female face on marginal increases or decreases due of the family to suicide larger elastic. For these reasons we think that suicide prevention exist in External Effect of age difference in Taiwan. Structural rigidity for regional suicide rates that lead to prevention and low spatial spillover effects. Finally, Institution and organization of Suicide prevention should be fragmentation and disintegration.
關鍵字(中) ★ 外部性效果
★ 固定效果模型
★ 自殺率
關鍵字(英) ★ Fixed Effect
★ External Effect
★ Suicide Rate
論文目次 中文摘要 i
英文摘要 ii
誌謝辭 iii
目錄 iv
表目錄 v
圖目錄 vi
第一章 緒論 1
第一節 研究背景及動機 1
第二節 研究目的 4
第二章 文獻回顧 6
第一節 前言 6
第二節 自殺行為與醫療保健防治的相關性 6
第三節 自殺現象與社會、經濟變數之相互影響性 8
第四節 自殺與公共支出、所得不均衡效果之影響性 13
第五節 台灣地區自殺率之相關實證研究 15
第三章 實證方法 17
第一節 前言 17
第二節 固定效果模型 18
第四章 資料來源與變數說明 22
第一節 資料來源 22
第二節 資料特性 23
第三節 變數說明 25
第四節 台灣地區自殺防治的現況 50
第五章 實證結果說明 52
第一節 前言 52
第二節 台灣地區各縣市異質性之假設結果 53
第三節 標準化與各年齡層自殺死亡率固定效果之實證結果說明 54
第四節 各性別年齡層自殺死亡率固定效果之實證結果說明 59
第五節 台灣地區各縣市自殺率固定效果與長期經濟發展之關聯性 64
第六章 結論與政策建議 67
第一節 前言 67
第二節 結論與政策建議 68
第三節 研究限制與未來展望 71
參考文獻 74
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指導教授 蔡偉德(Wei-Der Tsai) 審核日期 2010-8-25
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